Individual
MR. BRIAN ALEXANDER SOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNP
Contact information
Practice address
5209 DETROIT AVE, CLEVELAND, OH 44102-2224
(216) 651-2037
(216) 651-4145
Mailing address
5209 DETROIT AVE, CLEVELAND, OH 44102-2224
(216) 651-4145
(216) 651-4145
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
434715
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN.CNP.023345
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
199220767641
—
OH
Enumeration date
03/07/2018
Last updated
03/21/2019
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